bubble_chart Indications

Malaria occurring before the Limit of Heat (14th solar term), with headache, neck pain, floating pulse, sweating, and aversion to wind.

bubble_chart Formula Modification

or

1. vomiting, add Pineilia yeast.
2. without sweating, Cinnamon Twig easily Ephedra , named Ephedra Saposhnikovia Root decoction ⁽¹⁾.

1. According to the essentials of the two decoction mechanisms, it is used to treat malaria and is a general remedy for inducing sweating.

bubble_chart Documentation

1. Zhu Dan-xi said: In the treatment of malaria, if there is no sweating, the goal is to induce sweating, with the primary focus on dispersing pathogenic factors, supplemented by tonification. If there is sweating, the goal is to stop sweating, with the primary focus on strengthening the body's vital energy, supplemented by dispersing.
2. Hejian said: When malaria presents with severe chills and fever, this indicates a transmission from the greater yang to the yangming combination of diseases. If sweating is incessant, it is known to be due to heat. This is a sign of yang exuberance and yin deficiency. If not treated, it will inevitably transmit to the yin channels. The Cinnamon Twig and Peony Root Decoction is the main treatment, with three qian of Cinnamon Twig, and one liang each of Peony Root, Astragalus Root, Anemarrhena, and Gypsum. If the chills and fever become more severe, the Cinnamon Twig and Skullcap Decoction should be used in combination, with minor Bupleurum added to Cinnamon Twig, Anemarrhena, and Gypsum. If the external pathogenic factors have subsided but the internal pathogenic factors persist, purgation methods such as the Major Bupleurum Decoction should be used.